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<!–startprint1–>

	<div class="box">
	<h3 style="text-align: center">邯郸市健康小屋专家活动评价表(5个单选)</h3>
		<div class="box-body">
<table class="table table-bordered" style="font-size:18px;border:2px solid;">
		<thead>
			<tr>
			<th style="width:200px;text-align: center">服务质量</th>		
			<th style="width:890px;text-align: center">服务分值</th>		
			<th style="width:600px;text-align: center">意见建议</th>		
</tr>
</thead>
			<tbody>

				<tr>
					<td>服务态度</td>
					<td style="line-height: 32px">
	&#9744非常好&nbsp|&nbsp 
	&#9744好&nbsp|&nbsp
	&#9744一般&nbsp|&nbsp
	&#9744差&nbsp|&nbsp
	&#9744非常差
</td>
<td rowspan='5'>	</td>
				<tr>
					<td style="line-height: 32px">服务能力</td><td>
	&#9744非常好&nbsp|&nbsp
	&#9744好&nbsp|&nbsp
	&#9744一般&nbsp|&nbsp
	&#9744差&nbsp|&nbsp
	&#9744非常差
</td>
				</tr>
				<tr>
					<td style="line-height: 32px">服务质量</td><td>
	&#9744非常好&nbsp|&nbsp
	&#9744好&nbsp|&nbsp
	&#9744一般&nbsp|&nbsp
	&#9744差&nbsp|&nbsp
	&#9744非常差
</td>

				</tr>
				<tr>
					<td style="line-height: 32px">服务效率</td><td>
	&#9744非常好&nbsp|&nbsp
	&#9744好&nbsp|&nbsp
	&#9744一般&nbsp|&nbsp
	&#9744差&nbsp|&nbsp
	&#9744非常差
</td>
				</tr>
				<tr>
					<td>服务纪律</td>
					<td style="line-height: 32px">
	&#9744非常好&nbsp|&nbsp
	&#9744好&nbsp|&nbsp
	&#9744一般&nbsp|&nbsp
	&#9744差&nbsp|&nbsp
	&#9744非常差
</td>

				</tr>
				</tr>
			</tbody>
		</table>
		<br/>
		<span style="font-size:16px">身份证号：</span><span style="text-decoration: underline;font-size:16px">&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp</span>&nbsp&nbsp
姓名：<span style="text-decoration: underline;font-size:16px">&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp</span>&nbsp&nbsp
反馈时间：<span style="text-decoration: underline;font-size:16px">&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp</span>
		</div>
	</div>

</div>
<br>
<hr>
<br>
	<div class="box">
	<h3 style="text-align: center">邯郸市健康小屋专家活动评价表(5个单选)</h3>
		<div class="box-body">
<table class="table table-bordered" style="font-size:18px;border-width:2px">
		<thead>
			<tr>
			<th style="width:200px;text-align: center">服务质量</th>		
			<th style="width:890px;text-align: center">服务分值</th>		
			<th style="width:600px;text-align: center">意见建议</th>		
</tr>
</thead>
			<tbody>

				<tr>
					<td>服务态度</td>
					<td style="line-height: 32px">
	&#9744非常好&nbsp|&nbsp 
	&#9744好&nbsp|&nbsp
	&#9744一般&nbsp|&nbsp
	&#9744差&nbsp|&nbsp
	&#9744非常差
</td>
<td rowspan='5'>	</td>
				<tr>
					<td style="line-height: 32px">服务能力</td><td>
	&#9744非常好&nbsp|&nbsp
	&#9744好&nbsp|&nbsp
	&#9744一般&nbsp|&nbsp
	&#9744差&nbsp|&nbsp
	&#9744非常差
</td>
				</tr>
				<tr>
					<td style="line-height: 32px">服务质量</td><td>
	&#9744非常好&nbsp|&nbsp
	&#9744好&nbsp|&nbsp
	&#9744一般&nbsp|&nbsp
	&#9744差&nbsp|&nbsp
	&#9744非常差
</td>

				</tr>
				<tr>
					<td style="line-height: 32px">服务效率</td><td>
	&#9744非常好&nbsp|&nbsp
	&#9744好&nbsp|&nbsp
	&#9744一般&nbsp|&nbsp
	&#9744差&nbsp|&nbsp
	&#9744非常差
</td>
				</tr>
				<tr>
					<td>服务纪律</td>
					<td style="line-height: 32px">
	&#9744非常好&nbsp|&nbsp
	&#9744好&nbsp|&nbsp
	&#9744一般&nbsp|&nbsp
	&#9744差&nbsp|&nbsp
	&#9744非常差
</td>

				</tr>
				</tr>
			</tbody>
		</table>
		<br/>
		<span style="font-size:16px">身份证号：</span><span style="text-decoration: underline;font-size:16px">&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp</span>&nbsp&nbsp
姓名：<span style="text-decoration: underline;font-size:16px">&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp</span>&nbsp&nbsp
反馈时间：<span style="text-decoration: underline;font-size:16px">&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp&nbsp</span>
		</div>
	</div>

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